The nose is one of the main focal points of the face. It must have a harmonious balance itself, where the bridge, tip, and nostrils are all aesthetically equal. The balance must also be achieved with the cheeks, chin, lips and forehead to bring about a flattering symmetrical look.
Sometimes, due to healing improperly or due to the patient not being pleased with the results of the first surgery, a revision rhinoplasty may be considered. However, not all patients are good candidates for revision rhinoplasty. Depending on the first surgery, the nose may simply not be in a condition to revise.
When Is Revision Rhinoplasty Needed?
The importance of the nose having an aesthetic balance, to complement the entire face, is one of the main reasons the first surgery was done. If this were not the outcome of the first surgery, many would consider a revision rhinoplasty.
Other than the complaint with the look of the nose, dysfunction of the nose can also be a factor in the revision. There can be scar tissue that partially or fully blocks the airways, or a whistling sound can be heard. Another complaint is of a continuous runny nose, known as rhinorrhea can also be a cause for revision.
Why Does Rhinoplasty Sometimes Fail?
Sometimes, it can be that an inexperienced doctor may have botched the surgery, or it could have just been bad luck during the healing process. Many times also it may have been from miscommunication between the doctor and the patient. If the patient is not clear on what is expected, the doctor may just make the changes that he feels are needed.
The recommendation for a consult, with several doctors before the final choice, cannot be stressed enough. The doctor, the patient relationship will play a big factor in the final outcome of the degree of satisfaction.
How Does It Work?
The first steps, after finding a recommended plastic surgeon, is to find out if you are a candidate for a revision. If the nose has been damaged, or if too much of the cartilage has been removed, it may develop into a reconstructive surgery. Revision nasal surgery is normally done as an outpatient procedure.
The recovery time is anywhere from one to two weeks, returning to work or normal activities within ten days. There may be a type of splint on the nose, but usually no packing within the nose. This splint will be removed in about a week, with visits back to the surgeon every few days for two weeks and then about once every three months.
Are There Any Consequences?
Planning before the operation is absolutely vital to success. The full results of this surgery will not be seen for one to two years, depending on the thickness of the skin and the complexity of the surgery. The consequences of this procedure are minimal as long as the surgeon is experienced in this type of surgery and the clear course and outcome.
Some surgeons have 3-D that digitally model the shape, width, bridge and length of the nose in real-time, in front of the patient. With this kind of photographic manipulation, the cause for any consequences or miscommunications are few, unless some unforeseen complication arises during surgery.
What Are The Pros And Cons?
It is recommended to research not only plastic surgeons, but the optional techniques of open or closed surgery and the drawbacks of both. Open rhinoplasty will allow the surgeon to see the structure of the nose more clearly and to adapt it to what you want more closely. However, there is more scaring than with the closed type, the scaring will usually fully heal within a year.
Whereas the closed technique will be done from inside the nostrils and should leave no visible scars on the outside of the nose. Some surgeons prefer this method when repairing deviated septum and alteration of the bridge. A change to the tip of the nose may be performed as an open surgery.
Is Revision Rhinoplasty Right For Me?
Good and clear communication with your doctor is very important, especially with a revision surgery. There are three kinds of techniques chosen to repair the nose, knowing each one will help in understanding the operation and what to expect for the patient.
These three types are open rhinoplasty, closed rhinoplasty and revision rhinoplasty. Concerning the revision rhinoplasty, it must be done after waiting at least a year from the original rhinoplasty. Due to the factors of swelling and healing, operating before that time will be futile in attaining the best procedure.
Call and talk to your surgeon before the surgery, write down questions and remember no question is too small. In determining if a revision rhinoplasty is right for you, you must make sure that you know as much as possible beforehand, and feel comfortable asking any questions of the doctor or of the staff.